Individual
IVY VADEL KERNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1201 MAIN ST., MONROE CITY, IN 47557
(812) 743-5113
Mailing address
PO BOX 6, MONROE CITY, IN 47557-0006
(812) 743-5113
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5007933A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200873200
—
IN
Enumeration date
08/22/2007
Last updated
02/17/2014
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